Organization · Type 2 NPI

House of Refuge Restoration, LLC

Clinical Social Worker · Chesapeake, VA

NPI number 1124255260 Active

Practice location

805 Shadowberry Crst
Chesapeake, VA 23320-3544

Call (757) 560-1944 Map

Fax (877) 468-5361

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X0812000532 (VA)
Counselor 101Y00000X0710102115 (VA)
Addiction (Substance Use Disorder) Counselor 101YA0400X0710102115 (VA)
Clinical Social Worker Primary 1041C0700X0904006954 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124255260

House of Refuge Restoration, LLC's National Provider Identifier is 1124255260, issued on Jun 16, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Chesapeake, VA. The record was last updated on Jun 16, 2009.